title: Retinal vasculitis as an early indicator of systemic candidal abscesses in a premature infant.
abstract: We report a case of fungal retinal vasculitis in a 32 week gestational age, 1200 g premature infant detected during routine screening for retinopathy of prematurity at 78 days of age. The patient subsequently developed sepsis with perinephric abscess but responded rapidly to systemic therapy. Fortuitous detection of retinal vasculitis as the first evidence of a systemic fungal infection in an immunocompetent and asymptomatic infant has not, to our knowledge, been previously reported.
authors.affiliation: Department of Pediatric Retina, Narayana Nethralaya Postgraduate Institute of Ophthalmology, Bangalore, India. anandvinekar@yahoo.com
authors.forename: Anand
authors.initials: A
authors.lastname: Vinekar
authors.forename: Kavitha
authors.initials: K
authors.lastname: Avadhani
authors.forename: Pradeep
authors.initials: P
authors.lastname: Maralusiddappa
authors.forename: Vinay M D
authors.initials: VM
authors.lastname: Prabhu
authors.forename: Padmamalini
authors.initials: P
authors.lastname: Mahendradas
authors.forename: V A
authors.initials: VA
authors.lastname: Indumathi
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D000935:Antifungal Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D002176:Candida albicans / Q000302:isolation & purification; D002177:Candidiasis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D015821:Eye Infections, Fungal / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D015725:Fluconazole / Q000627:therapeutic use; D005865:Gestational Age; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007234:Infant, Premature; D019102:Infant, Very Low Birth Weight; D007262:Infusions, Intravenous; D007674:Kidney Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D008297:Male; D031300:Retinal Vasculitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D014463:Ultrasonography
chemical_list: D000935:Antifungal Agents; D015725:Fluconazole